Citizen Academy Registration Form

Citizen Police Academy Application

Please complete all required fields on this form. Applications are due August 25, 2025.

West St. Paul Police Department

1616 Humboldt Ave.
West St. Paul, MN 55118
Ph: 651-552-4200

South St. Paul Police Department

125 3rd Ave N #3
South St Paul, MN 55075
Ph: 651-554-3300

Full Name*

First NameMiddle NameLast Name
Maiden Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address*
example@example.com
Home Phone Number*
Work Number
YesNo
Business Information

(If non-resident, but employee in West St. Paul or South St. Paul)
Business Name
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
If your answer was yes to the previous question, please provide what the conviction was and the date. *
SmallMediumLargeX-Large1X-LargeXX-LargeXXX-Large
Copy or Picture of Drivers License*

In order to apply online you must include a digital copy or picture of your Drivers License. If you only have a paper copy, you must apply in person.
Cancelof
Tennessen Warning*

I have read and agree to the Citizen Academy DATA PRACTICES RIGHTS ADVISORY Tennessen Warning
I agree
Citizen Academy Waiver of Claims and Release of Liability Agreement*

I have read and agree to the Citizen Academy Waiver of Claims and Release of Liability Agreement
I agree
Citizen Academy Confidentiality Agreement*

I have read and agree to the Citizen Academy Confidentiality Agreement
I agree
Signature*

I am over 18 years of age and I agree to allow West St. Paul or South St. Paul to run a Criminal Background Check on me for the purpose of determining my suitability for this program. When you provide your signature, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. (Please note: A criminal record does not automatically disqualify and applicant.)
Please verify that you are human*
Should be Empty:

Citizen Police Academy Application

Business Information

Tennessen Warning*

Citizen Academy Waiver of Claims and Release of Liability Agreement*

Citizen Academy Confidentiality Agreement*